Page 5 - Affinity Neurocare Benefit Guide 2022 updated

Preventive Care Coverage:

Blue Cross Blue Shield

One of the most valuable benefits included with your benefit package is preventive care coverage which covers 100% of
eligible preventive services. NO Dr. copays or deductibles apply! Like all other services, you must see In-Network Providers.
This means that you and your covered dependents have access to a variety of medical tests, screenings, annual exams,
and immunizations which may help reduce your risk of developing health conditions in the future. Details w/your Dr.

FOR ADULTS FOR CHILDREN

Annual preventive medical history and physical exam Annual preventive medical history and physical exam

SCREENINGS FOR:
SCREENINGS FOR:

 Abdominal aortic aneurysm  Autism
 Alcohol abuse and tobacco use  Cervical dysplasia
 Cardiovascular disease (CVD) including cholesterol screening  Critical congenital heart defect screening for newborns
and statin use for the prevention of CVD  Depression
 Colorectal and lung cancer  Developmental delays
 Depression  Dyslipidemia (for children at higher risk)
 Falls prevention  Hearing loss, hypothyroidism, sickle cell disease and
 High blood pressure, obesity and diabetes phenylketonuria (PKU) in newborns
 Sexually transmitted infections, HIV, HPV and hepatitis  Hematocrit or hemoglobin
 Tuberculosis  Lead poisoning
 Obesity
COUNSELING FOR:  Sexually transmitted infections and HIV
 Tuberculosis
 Alcohol misuse  Vision Screening
 Domestic violence
 Healthy diet and physical activity counseling for adults who AND COUNSELING:
are overweight or obese and have additional cardiovascular
risk disease factors  Alcohol and drug use assessment for adolescents
 Obesity  Obesity counseling
 Sexually transmitted infections  Oral health risk assessment, dental caries prevention
 Skin cancer prevention  fluoride varnish and oral fluoride supplements
 Tobacco use, including certain medicine to stop  Skin cancer prevention counseling

JUST FOR WOMEN

 Aspirin for preeclampsia prevention
 Breast cancer screening, genetic testing and counseling  Diphtheria, Pertussis, Tetanus
 Breastfeeding support, supplies and counseling  Haemophilus Influenzae Type B (Hib)
 Certain contraceptives and medical devices, morning after
pill, and sterilization to prevent pregnancy  Hepatitis A and B
 Cervical cancer screening  Human Papillomavirus (HPV)
 Chlamydia, gonorrhea, syphilis, HIV and hepatitis B screenings  Inactivated Poliovirus (Polio)
 Counseling for alcohol and tobacco use during pregnancy  Influenza (Flu)
 Diabetes melitus screening after pregnancy  Measles, Mumps, Rubella (MMR)
 Folic acid supplementation during pregnancy  Meningitis
 Human papillomavirus (HPV) DNA test  Pneumococcal
 Osteoporosis screening  Rotavirus
 Screenings during pregnancy, including screenings for anemia,  Varicella (Chicken Pox)
gestational diabetes, bacteriuria, Rh(D) compatibility  Zoster (Herpes, Shingles
 Urinary incontinence screening

5 Note: For information on what the plans cover, please see the benefit summaries for more details.